Place of Laparoscopic Approach in Non-Palpable Testis Management on Children: a Review about 20 Cases
PURPOSE: The objective of this work is to report the results of laparoscopy in the management of non-palpable testis at the pediatric surgery department over a two-year period. PATIENTS AND METHODS: we report a study on the interest of laparoscopy in impalpable testis, carried out over a period of two years, at the Pediatric Surgery Department of Albert Royer Children's Hospital in Dakar and the General Surgery Department of Heinrich LUBKE Hospital in Diourbel. Laparoscopy was used as the first-line approach to locate and reposition the test is in the scrotal sac. RESULTS: The average age of the children was 4.7 years with extremes of 2.5 and 6 years. The right side was affected in 8 patients, the left side in 11 patients, whereas the disease was bilateral in one patient. Out of the 21 investigated non-palpable test is, coelios copy identified 14 testis aside the inguinal canal deep orifice, 4 in ectopic position and 3 agenesis testis. We performed 14 single-stage repositioning, 4 two-stage repositioning according to Fowler Stephens method, and 3 cases of residue ablations. Post-operative follow-up was conducted in 13 patients and revealed that 11 testicles were in intrascrotal position and 2 non-palpable. Testicular size remained normal in 10 of the 13 patients after surgery; one case of atrophy was recorded in a patient who underwent a two-stage repositioning. Testicular ascent was not recorded. CONCLUSION: Laparoscopic approach is our core therapy procedureof impalpable testicles because of its low morbidity and a high success rate.
non-palpable testicle, child, laparoscopy